FCPS Part 2 Written – 2 Months Course July 22 – Oncology – Day 1
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1.The role of the sentinel lymph node mapping is most established in this gynaecological malignancy:CorrectIncorrect
- Untreated VIN (vulva intraepithelial neoplasia) may progress to carcinoma of vulva in:
3. Flat-topped violaceous purpuric plaques on the vulva are characteristic of:CorrectIncorrect
- Lichen sclerosus commonly presents in the following age group:
- What percentage of patients in dedicated vulval cancers present with Lichen sclerosus?
- A 21-year-old G0P0 healthy college student presents to Student Health Center, complaining of severe vulvar puritius. She has a BMI of 24, uses condoms with coitus, and finished her last menses 4 days prior. Last month she was diagnosed with and successfully treated for manila vaginitis. She denies any other symptoms including vaginal discharge. What is the most likely diagnosis?
- A 79-year-old woman presents to your office with a 1-cmfleshy outgrowth fromher urethra. It has a slightly infected appearance and bleeds on contact. You performa biopsy, and the report states “transitional and stratified squamous epitheliumwith underlying loose connective tissue.” Which of the following is the most likely diagnosis?
- A patient consults you with complaints of recurrent, painful, draining vulvar lesions. Examination shows multiple abscesses and deep scars in the labia. A foul-smelling discharge fromthe lesions is noted. During the review of systems, the patient reports the occasional appearance of similar lesions in the axilla. Which of the following is the most likely diagnosis?
- A 20-year-old patient complains of painful vulvar ulcers present for 72 hours. Examination reveals three tender, punched-out lesions with a yellow exudate but no induration. Which of the following is the most likely diagnosis?
- A 17-year-old girl is seen at a local clinic desiring contraception because she thinks she will soon become sexually active. During her examination, an ulcerative lesion is seen in the vaginal fornix. It has a rolled, irregular edge with a reddish-appearing granular base. The lesion is mildly tender to palpation. This lesion is most likely which of the following?